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A cake recipe requires a round pan that is 8 inches in diameter. If someone wants to make a cake of the same depth but using a pan that is 12 inches in diameter instead, by what factor should the recipe ingredients be multiplied?
The volume of a cake (same depth) is proportional to the area of the base, which is proportional to the square of the diameter (or radius).
Factor $= \left(\dfrac{12}{8}\right)^2 = \left(\dfrac{3}{2}\right)^2 = \dfrac{9}{4} = 2\dfrac{1}{4}$
The recipe ingredients should be multiplied by $2\dfrac{1}{4}$.
The textbook provides a detailed timeline of early Urdu journalism:
- 1822: Jam-e-Jahan Numa โ first Persian weekly published, sometimes in Urdu, sometimes in Persian โ a weekly, not a daily
- 14 January 1850: Kohinoor โ started by Munshi Harsukh Rai as a weekly with circulation of 350 (the largest of its time)
- 1858: Urdu Guide โ started by Maulvi Kabeeruddin from Kolkata โ this was the FIRST Urdu daily newspaper
- Same year (1858): Roznamcha-e-Punjab started from Lahore as the second daily
- 1903: Zameendar started from Lahore โ best newspaper of its time, first to use news agencies, circulation of 30,000, supported independence movement
Students commonly confuse the first publication in Urdu (Jam-e-Jahan Numa, 1822) with the first Urdu daily (Urdu Guide, 1858).
Paralytic ileus is the temporary cessation of bowel motility after abdominal surgery. Return of bowel function is confirmed by:
- Passage of flatus (gas) โ earliest and most reliable sign of return of peristalsis
- Bowel sounds (return in small bowel first, usually 24โ48 hrs; large bowel 48โ72 hrs)
- Passage of stool
Assessment sequence for bowel function return:
- Auscultate for bowel sounds (all four quadrants, 2 minutes each)
- Ask patient about passage of gas (flatus)
- Advance diet only after confirmed peristalsis (clear liquids โ soft โ regular)
Failure of bowel function to return may indicate mechanical obstruction, which requires surgical intervention โ a critical distinction for Charge/Head Nurses.
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